Health Insurance for Low-Income
Medi-Cal and CHDP coverage are handled at the local level by local health departments for each county. Each individual organization creates a network of clinicians that work together to provide care to their qualified members. With the introduction of Obamacare (The Affordable Care Act), California opted to expand their Medicaid programs in 2014. The expansion was estimated to provide coverage for an additional 2 million of low-income Californians.
California Medicaid Plan Options
Medi-Cal is the California Medicaid option for low-income adults, children, seniors, persons with disabilities, foster care, and pregnant women. Medi-Cal is financed by the State and federal government through taxes. This is the program that provides the majority of the coverage for Californians that qualify for Medicaid.
California health insurance plans that have been contracted by Medi-Cal include:
- Aetna Select Choice
- Alameda Alliance for Health
- Anthem Blue Cross CaliforniaCare
- Central California Alliance for Health
- Health Plan of San Joaquin
- Partnership Health Plan
- San Francisco Health Plan
- San Francisco Health Plan UCSF Primary Care
- San Francisco Health Plan/ SF Cares for Kids
Child Health and Disability Prevention Program
CHDP provides complete health assessments for early detection and prevention of disease and disability for low-income children and youth. The program is operated locally and not contracted by large health insurances. The program uses funds from state and federal taxes to reimburse healthcare providers for providing early and preventive services for eligible children.
Breast and Cervical Cancer Treatment Program
BCCTP works in conjunction with EWC and Family PACT to provide cancer treatment and services for eligible low-income California residents who are in need of treatment for breast and/or cervical cancer.
Every Woman Counts
EWC provides free clinical breast exams, mammograms, pelvic exams, and Pap tests to California’s underserved women. The mission of the EWC is to save lives by preventing and reducing the devastating effects of cancer for Californians through education, early detection, diagnosis and treatment, and integrated preventive services, with special emphasis on the underserved. EWC is part of the Department of Health Care Services' Cancer Detection and Treatment Branch (CDTB).
The Office of Family Planning (OFP) is charged by the California Legislature “to make available to citizens of the State who are of childbearing age comprehensive medical knowledge, assistance, and services relating to the planning of families.” The purpose of family planning is to provide women and men a means by which they decide for themselves the number, timing, and spacing of their children.
Currently, there are seven counties in California participating in a pilot Medicare-Medicaid program that offers dual coverage to individuals in order to combine long-term services with basic healthcare needs called Coordinated Care Initiative. The seven counties are Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara county.
Under the Coordinate Care Initiative eligible parties have two options:
- Cal MediConnect
- Managed Medi-Cal Long-Term Supports and Services
California Medicaid FAQs
- What is Medicaid?
Medicaid is a state funded insurance that that provides coverage to low income families, pregnant women, newborns, and children that may not be able to afford to purchase their own care.
- Who is eligible for Medicaid?
California Medicaid eligibility is limited to only certain elderly and disabled with specific medical conditions and children or pregnant women who live in homes that are at 141% of the federal poverty limit. If you do not have children and are not disabled, you are not eligible for Medicaid.
- How do I find out if I am eligible for Medicaid?
To find out if you are eligible for Medicaid, you must fill out an application for Medicaid or CHIP. You may fill out an application at any time of the year. See more on Medicaid.
- Will Medicaid cover my children?
Your household income level will determine if your child or children can be covered by Medicaid.
- What is CHIP?
CHIP is a program that supports children in families that cannot afford private health insurance, but whose household income is too high to qualify for Medicaid.
- Can I use Medicaid to satisfy the health insurance requirement?
Yes, Medicaid will satisfy the health insurance requirement for the covered individuals.
- What information and documents should I have when I'm signing up for Medicaid?
Depending on the Medicaid Part you are applying for you may need the following: identification documentation, Social Security documentation, proof you live in California, proof of income, proof of medical costs, and bank account information.
- What is Medi-Cal?
Medi-Cal is the California Medicaid option for low income adults, children, seniors, persons with disabilities, foster care, and pregnant women. Medi-Cal is financed by the State and federal government through taxes. This is the program that provides the majority of the coverage for Californians that qualify for Medicaid.